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WO1993006793A1 - Implant femoral de hanche de rigidite reduite - Google Patents

Implant femoral de hanche de rigidite reduite Download PDF

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Publication number
WO1993006793A1
WO1993006793A1 PCT/US1992/008414 US9208414W WO9306793A1 WO 1993006793 A1 WO1993006793 A1 WO 1993006793A1 US 9208414 W US9208414 W US 9208414W WO 9306793 A1 WO9306793 A1 WO 9306793A1
Authority
WO
WIPO (PCT)
Prior art keywords
stem
groove
proximal
bone
set forth
Prior art date
Application number
PCT/US1992/008414
Other languages
English (en)
Inventor
Jon Serbousek
Alexandre Dinello
Original Assignee
Boehringer Mannheim Corporation
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Boehringer Mannheim Corporation filed Critical Boehringer Mannheim Corporation
Priority to AU27871/92A priority Critical patent/AU680400B2/en
Priority to DE69228190T priority patent/DE69228190T2/de
Priority to EP92921651A priority patent/EP0607287B1/fr
Priority to CA002120706A priority patent/CA2120706C/fr
Priority to JP50708893A priority patent/JP3451257B2/ja
Publication of WO1993006793A1 publication Critical patent/WO1993006793A1/fr

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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L27/00—Materials for grafts or prostheses or for coating grafts or prostheses
    • A61L27/50—Materials characterised by their function or physical properties, e.g. injectable or lubricating compositions, shape-memory materials, surface modified materials
    • A61L27/56—Porous materials, e.g. foams or sponges
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/30767—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/30767—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
    • A61F2/30771—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/32—Joints for the hip
    • A61F2/36—Femoral heads ; Femoral endoprostheses
    • A61F2/3662—Femoral shafts
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L27/00—Materials for grafts or prostheses or for coating grafts or prostheses
    • A61L27/02—Inorganic materials
    • A61L27/04—Metals or alloys
    • A61L27/047—Other specific metals or alloys not covered by A61L27/042 - A61L27/045 or A61L27/06
    • A—HUMAN NECESSITIES
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    • A61L27/00—Materials for grafts or prostheses or for coating grafts or prostheses
    • A61L27/02—Inorganic materials
    • A61L27/04—Metals or alloys
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    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/32—Joints for the hip
    • A61F2/34—Acetabular cups
    • A—HUMAN NECESSITIES
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    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
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    • A61F2/36—Femoral heads ; Femoral endoprostheses
    • A61F2/3609—Femoral heads or necks; Connections of endoprosthetic heads or necks to endoprosthetic femoral shafts
    • A—HUMAN NECESSITIES
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    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30003—Material related properties of the prosthesis or of a coating on the prosthesis
    • A61F2002/30004—Material related properties of the prosthesis or of a coating on the prosthesis the prosthesis being made from materials having different values of a given property at different locations within the same prosthesis
    • A61F2002/30014—Material related properties of the prosthesis or of a coating on the prosthesis the prosthesis being made from materials having different values of a given property at different locations within the same prosthesis differing in elasticity, stiffness or compressibility
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30317—The prosthesis having different structural features at different locations within the same prosthesis
    • A61F2002/30322—The prosthesis having different structural features at different locations within the same prosthesis differing in surface structures
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/30767—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
    • A61F2002/30769—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth madreporic
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/30767—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
    • A61F2/30771—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves
    • A61F2002/30795—Blind bores, e.g. of circular cross-section
    • A61F2002/308—Blind bores, e.g. of circular cross-section oblong
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/30767—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
    • A61F2/30771—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves
    • A61F2002/3082—Grooves
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/32—Joints for the hip
    • A61F2/36—Femoral heads ; Femoral endoprostheses
    • A61F2/3609—Femoral heads or necks; Connections of endoprosthetic heads or necks to endoprosthetic femoral shafts
    • A61F2002/3625—Necks
    • A61F2002/3631—Necks with an integral complete or partial peripheral collar or bearing shoulder at its base
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2250/00—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2250/0014—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof having different values of a given property or geometrical feature, e.g. mechanical property or material property, at different locations within the same prosthesis
    • A61F2250/0018—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof having different values of a given property or geometrical feature, e.g. mechanical property or material property, at different locations within the same prosthesis differing in elasticity, stiffness or compressibility
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2250/00—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2250/0014—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof having different values of a given property or geometrical feature, e.g. mechanical property or material property, at different locations within the same prosthesis
    • A61F2250/0026—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof having different values of a given property or geometrical feature, e.g. mechanical property or material property, at different locations within the same prosthesis differing in surface structures
    • A—HUMAN NECESSITIES
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    • A61F2310/00—Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
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    • A61F2310/00389—The prosthesis being coated or covered with a particular material
    • A61F2310/00395—Coating or prosthesis-covering structure made of metals or of alloys

Definitions

  • the present invention relates generally to a femoral hip prosthesis and, more particularly, to a femoral component having a stem which exhibits substantially controlled stiffness between its proximal and distal ends.
  • the proximal femoral bone may ' resorb to a small fraction of its original mass, possibly causing a loss of support of the implant or implant breakage.
  • implant flexural stiffness increases at an exponential rate, typically at powers between two and four, depending upon implant geometry, relative to linear increases in implant dimension.
  • Further aggravating the situation is the fact that there is little correlation between the size of the patient and the diameter of the intramedullary canal. That is, a small, relatively light person may have a femur with a large diameter canal and a much larger person may have a femur with a smaller diameter canal. Therefore, it has been considered desirable to produce an implant, especially a larger diameter implant, with greatly reduced stiffness in relation to its stem diameter.
  • the elasticity, and consequently the deformation, of an implant depends on the elastic modulus of the material and on the prosthetic design. By adjusting the physical characteristics of the foreign material to that of the bone tissue, as well as the design of the prosthesis to the femoral shaft, the entire system would have the same elasticity as a normal femur.
  • a more elastic hip endoprosthesis also may act as a shock absorber during walking, particularly in the heel/strike and toe/off phases.”
  • the prosthesis was composed of polyacetal resin which has an elasticity modulus approaching that of bone tissue, good durability, and tenacity for highly stressed components in combination with good tissue tolerance.
  • the component was reinforced by a metallic core that was radiused toward the tip to increase the elasticity of the stem, thereby allowing the stem of the prosthesis to follow the deformation of the bone.
  • Isoelasticity implies the optimum approximation of the physical characteristics of an implant to those of the bone.
  • U.S. Patent No. 4,287,617 to Tornier discloses a hip prosthesis with a femoral stem which provides a measure of the elasticity spoken of by Morscher and Dick.
  • a transverse section of the Tornier stem is in the form of a substantially rectangular tube of which one of the small sides is virtually cut away so as to leave a very large slot.
  • the C-shaped section thus obtained is said to exhibit excellent transverse elasticity which facilitates the positioning of the pin in the medullary cavity by insertion.
  • Other stated advantages are that the pin is not as heavy as solid designs, and that the cavity encourages bone growth.
  • a femoral component of an artificial hip joint includes an elongated stem with a single longitudinally extending, generally medially facing, groove in its outer surface intermediate its proximal and distal ends.
  • the dimensions of the groove are chosen so as to obtain a predetermined stiffness profile of the stem between the proximal and distal ends.
  • the stem has a magnitude of stiffness no greater than that at which stress shielding of the first bone has been clinically identified by radiographic methods.
  • the groove and the outer surface of the stem intersect at an outer rim.
  • the groove has a central concave surface and proximal and distal radiused end surfaces in communication with and blending smoothly with the central cylindrical concave surface.
  • the groove is disposed at an angle relative to the coronal plane, extending axially and can be angled either anteriorly or posteriorly to customize its stiffness.
  • the component is preferably composed of cobalt-chromium alloy, but this principle is applicable to titanium or titanium alloy as well.
  • the outer surface of the stem may be provided with a porous medium for encouraging bone ingrowth fixation.
  • the invention enables the reduction of the stiffness of a femoral hip implant in a controlled fashion.
  • the invention also maintains a controlled flexibility in the mid stem region while still affording extensive proximal and distal fixation.
  • prior art components only allowed mid stem or distal flexibility while adversely reducing the potential fixation area.
  • the neutral axis bending axis
  • the femoral stem exhibiting the qualities of the invention may be composed of any of the common materials generally employed for implants. However, of these, titanium, titanium alloy, and cobalt chromium alloy would be preferable.
  • FIG. 1 is a side elevation view, certain parts being cut away and shown in section, of a hip prosthesis, including a femoral component embodying the invention
  • FIG. 2 is a perspective view of the femoral component of Fig. 1;
  • FIG. 3 is a side elevation view of the femoral component, certain parts being cut away and shown in section;
  • FIG. 4 is a top plan view of the femoral component
  • FIG. 5 is a detail front elevation view of a portion of the femoral component
  • FIG. 6 is a cross section view taken generally along line 6—6 in Fig. 5;
  • FIG. 7 is a bar graph indicating relative stiffness of a series of stems of varying diameters for femoral components which are currently available commercially, as well as stems embodying the teachings of the present invention.
  • FIG. 8 is a line graph generally depicting the information presented in Fig. 7. DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENT
  • FIG. l illustrates a hip prosthesis 20 including a femoral component 22 which embodies the invention.
  • the femoral component 22 which may be of any material commonly used, such as a cobalt-chromium alloy, titanium, and titanium alloy, is suitably implanted in a femur 24 and is cooperatively engaged with an acetabular component 26. The latter component is suitably implanted in the acetabular cavity 28 of a pelvis 30.
  • the femoral component 22 has a taper 32 at its extreme proximal end (Figs. 1-4) adapted to fittingly receive thereon a ball 34 (Fig. 1) .
  • the ball is rotatably engaged with the acetabular component 26 in a known manner.
  • the femoral component further includes a collar 36, with the taper 32 being joined to the shoulder via a neck 38.
  • a stem 40 extends away from the collar 36 to a distal or tip end 42.
  • the stem 40 is received in the intramedullary canal 44 (Fig. 1) of the femur and lies generally in the coronal plane of the body of the person in whom the prosthesis.is implanted.
  • the lateral dimensions of the stem are substantially constant between the collar 36 at the proximal end and the distal end 42 of the femoral component 22.
  • the stem is formed in any suitable manner with a single longitudinally extending groove 46 intermediate in its proximal and distal ends. As best seen in Figs. 3 and 5, the groove 46 includes a central concave surface 48 of substantially constant curvature as the stem is viewed in cross section (FIG. 6) and proximal and distal radiused end surfaces 50, 52, respectively.
  • the central concave surface and the radiused end surfaces 50, 52 intersect with an outer surface 54 of the stem, the intersection occurring at an outer rim 56.
  • the radiused end surfaces blend smoothly with the central concave surface 48 to prevent the occurrence of any undue stress concentrations.
  • porous surface 58 enabling bone ingrowth fixation.
  • An excellent example of such a surface results from application of the proprietary porous metal coating of DePuy Division of Boehringer Mannheim Corpora ⁇ tion provided under the trademark "POROCOAT".
  • the porous surface 58 may be applied to specified portions of the outer surface 54.
  • the shape and dimensions of the groove 46 are chosen so as to obtain substantially controlled stiffness of the stem 40 between its proximal and distal ends. Its purpose is to affect the mass moment of inertia of the femoral component at any given location along the length of the stem to thereby achieve a controlled stem flexibility.
  • the shape of the cross section of the stem need not be circular but may include asymmetrical shapes, as desired, so long as substantially constant stem flexibility is maintained.
  • the goal sought to be achieved by the stem 40 is that at all locations along its length it exhibits a magnitude of stiffness no greater than that at which stress shielding of the bone 24 would occur.
  • the anatomic loading on the femoral component is determined, then the longitudinal axis of the groove is placed in the plane in which loading occurs.
  • the groove 46 has a longitudinal axis parallel to the longitudinal axis of the stem and lies within a central bisecting plane which is generally angularly disposed relative to the coronal plane when the stem is implanted.
  • the central bisecting plane of the longitudinally extending groove may be disposed at an angle within a range of 0° to approximately 45 relative to the coronal plane and extends axially, although a range of 0° to approximately 18° is preferred.
  • the groove can be angled either anteriorly or posteriorly to customize its stiffness.
  • FIG. 7 is a bar graph indicating relative stiffness of a series of stems of varying diameters ⁇ which are currently available for implanting. It is noteworthy that the 18 millimeter diameter stem exhibits approximately 10 times the stiffness of the 10.5 millimeter diameter stem.
  • the invention serves to avoid this exponential increase. For example, as seen from the graph in FIG. 7, beginning with the 13.5 millimeter stem, if a 13.5mm diameter stem was determined as the adoptive remodling threshold, it would be desirable to maintain that stiffness on implants 13.5mm diameter and above.
  • FIG. 8 is a line graph generally presenting the information of FIG. 7 in a different format.
  • curve 60 represents the unmodified stem
  • curve 62 represents the modified, constant moment, stem
  • curve 64 represents the modified, variable moment, stem.

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  • Health & Medical Sciences (AREA)
  • General Health & Medical Sciences (AREA)
  • Chemical & Material Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Transplantation (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Epidemiology (AREA)
  • Medicinal Chemistry (AREA)
  • Dermatology (AREA)
  • Cardiology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Inorganic Chemistry (AREA)
  • Dispersion Chemistry (AREA)
  • Prostheses (AREA)
  • Materials For Medical Uses (AREA)

Abstract

Un élément fémoral d'une articulation artificielle de hanche (20) comprend une tige allongée (40) présentant une gorge individuelle (46) médiane s'étendant logitudinalement. Les dimensions de la gorge sont choisies de manière à obtenir un degré de rigidité non supérieur à celui auquel intervient une protection de l'os (24) contre les contraintes. La gorge (46) et la surface extérieure de la tige s'entrecroisent au niveau d'un bord extérieur (56). La gorge présente une surface (48) centrale concave ainsi que des surfaces (50, 52) extrêmes arrondies proximales et distales en communication avec la surface (48) centrale concave cylindrique avec laquelle elles se confondent uniment. La gorge est disposée en angle dans une plage comprise entre 0° et approximativement 45° par rapport au plan coronal, s'étendant dans un sens postérieur latéral et antérieur médian. L'élément se compose de préférence de titane, d'alliage au titane ou d'alliage cobalt-chrome. La surface extérieure de la tige peut être pourvue d'un milieu poreux destiné à stimuler la fixation de la croissance osseuse.
PCT/US1992/008414 1991-10-07 1992-10-02 Implant femoral de hanche de rigidite reduite WO1993006793A1 (fr)

Priority Applications (5)

Application Number Priority Date Filing Date Title
AU27871/92A AU680400B2 (en) 1991-10-07 1992-10-02 Reduced stiffness femoral hip implant
DE69228190T DE69228190T2 (de) 1991-10-07 1992-10-02 Femorales hüftimplantat mit verringerter steifheit
EP92921651A EP0607287B1 (fr) 1991-10-07 1992-10-02 Implant femoral de hanche de rigidite reduite
CA002120706A CA2120706C (fr) 1991-10-07 1992-10-02 Implant de hanche a rigidite reduite
JP50708893A JP3451257B2 (ja) 1991-10-07 1992-10-02 低剛性大腿部股関節のインプラント

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US77302791A 1991-10-07 1991-10-07
US773,027 1991-10-07

Publications (1)

Publication Number Publication Date
WO1993006793A1 true WO1993006793A1 (fr) 1993-04-15

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PCT/US1992/008414 WO1993006793A1 (fr) 1991-10-07 1992-10-02 Implant femoral de hanche de rigidite reduite

Country Status (7)

Country Link
US (1) US5336265A (fr)
EP (1) EP0607287B1 (fr)
JP (1) JP3451257B2 (fr)
AU (1) AU680400B2 (fr)
CA (1) CA2120706C (fr)
DE (1) DE69228190T2 (fr)
WO (1) WO1993006793A1 (fr)

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP1234556A2 (fr) * 2001-02-23 2002-08-28 Zimmer Inc. Tige fémorale avec nervure de renforcement
WO2003047471A1 (fr) * 2001-11-30 2003-06-12 Depuy International Limited Piece femorale de prothese de hanche
EP2886085A3 (fr) * 2013-12-18 2015-10-07 DePuy Synthes Products, LLC Tige de prothèse orthopédique à module double
US10213310B2 (en) 2012-06-18 2019-02-26 DePuy Synthes Products, Inc. Dual modulus hip stem and method of making the same
US10213314B2 (en) 2013-03-14 2019-02-26 DePuy Synthes Products, Inc. Femoral component for an implantable hip prosthesis

Families Citing this family (24)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0543099A3 (en) * 1991-11-19 1994-05-25 Bristol Myers Squibb Co Implant fixation stem
US5509935A (en) * 1994-02-16 1996-04-23 Wright Medical Technology, Inc. Intramedullary implant with optimized geometric stiffness
US5879398A (en) * 1995-02-14 1999-03-09 Zimmer, Inc. Acetabular cup
US5935172A (en) * 1996-06-28 1999-08-10 Johnson & Johnson Professional, Inc. Prosthesis with variable fit and strain distribution
US5755810A (en) * 1996-11-13 1998-05-26 Cunningham; Robert A. Hip implant prosthesis
US6913623B1 (en) 2000-08-15 2005-07-05 Centerpulse Orthopedics, Inc. Two piecefused femoral hip stem
US6682567B1 (en) 2001-09-19 2004-01-27 Biomet, Inc. Method and apparatus for providing a shell component incorporating a porous ingrowth material and liner
US6695883B2 (en) * 2002-04-11 2004-02-24 Theodore W. Crofford Femoral neck fixation prosthesis
US6755866B2 (en) 2002-08-20 2004-06-29 Depuy Products, Inc. Prosthetic stem with bearings
US6887278B2 (en) * 2002-11-04 2005-05-03 Mayo Foundation For Medical Education And Research Prosthetic implant having segmented flexible stem
US7534271B2 (en) 2004-01-22 2009-05-19 Smith + Nephew Femoral hip prosthesis and method of implantation
US7547328B2 (en) * 2004-05-26 2009-06-16 Sidebotham Christopher G Canine femoral stem system
US7892290B2 (en) * 2004-05-28 2011-02-22 Smith & Nephew, Inc. Fluted sleeve hip prosthesis for modular stem
WO2005117763A2 (fr) * 2004-05-28 2005-12-15 Smith & Nephew, Inc. Tige intramedullaire cannelee
EP2068772A2 (fr) * 2006-09-20 2009-06-17 Smith & Nephew, Inc. Tige à rigidité variable pour implants prothétiques
US20080287958A1 (en) * 2007-05-14 2008-11-20 Howmedica Osteonics Corp. Flexible intramedullary rod
US9949837B2 (en) 2013-03-07 2018-04-24 Howmedica Osteonics Corp. Partially porous bone implant keel
KR102168619B1 (ko) * 2017-08-07 2020-10-22 옌 왕 선천성고관절발육불량 치료용 코브라 형상 대퇴스템삽입물
KR102168618B1 (ko) * 2017-08-07 2020-10-22 옌 왕 인공α대퇴스템삽입물
US10206782B1 (en) 2017-10-12 2019-02-19 King Saud University Custom-fitting collar sleeve backing for commercial hip protheses
US11123085B2 (en) 2018-04-11 2021-09-21 Howmedica Osteonics Corp. Cutting tool positioned by flexible rod for revision surgery
JP2021115433A (ja) * 2020-01-23 2021-08-10 株式会社シミズテック 人工股関節用ステム
CN113081402B (zh) * 2021-03-31 2021-11-05 北京航空航天大学 一种股骨柄假体
CN117257529B (zh) * 2023-11-21 2024-02-09 北京力达康科技有限公司 一种钽涂层髋关节假体系统

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3740769A (en) * 1971-02-11 1973-06-26 E Haboush Prosthesis for hip joints
US3965490A (en) * 1974-11-14 1976-06-29 Howmedica, Inc. Femoral insert for hip joint prosthesis
US4164794A (en) * 1977-04-14 1979-08-21 Union Carbide Corporation Prosthetic devices having coatings of selected porous bioengineering thermoplastics
US4623349A (en) * 1982-06-29 1986-11-18 Gerald Lord Osteal prosthesis and the production thereof
US4808186A (en) * 1988-02-02 1989-02-28 Boehringer Mannheim Corporation Controlled stiffness femoral hip implant
US4986834A (en) * 1988-08-31 1991-01-22 Boehringer Mannheim Corporation Load sharing femoral hip implant

Family Cites Families (20)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2627855A (en) * 1950-04-07 1953-02-10 James W Price Fracture nail and bone plate
US3623164A (en) * 1969-10-06 1971-11-30 Gulf Oil Corp Prosthetic device
US3893196A (en) * 1970-08-06 1975-07-08 Robert F Hochman Body implant material
USRE28895E (en) * 1972-01-13 1976-07-13 United States Surgical Corporation Artificial hip joint
SU545343A1 (ru) * 1974-10-31 1977-02-05 Саратовский Государственный Научно-Исследовательский Институт Травматологии И Ортопедии Способ получени модели эндопротеза кости
FR2429589A1 (fr) * 1978-06-29 1980-01-25 Ceraver Tige en titane ou alliage de titane pour fixation sans ciment dans un os long pour prothese
CH642252A5 (de) * 1980-01-14 1984-04-13 Sulzer Ag Blattartiger schaft fuer die verankerung einer hueftgelenkprothese.
USRE32488E (en) * 1982-09-28 1987-09-01 Hip prosthesis
US4546501A (en) * 1982-09-28 1985-10-15 Gustilo Ramon B Hip prosthesis
US4475545A (en) * 1982-12-06 1984-10-09 Ender Hans G Bone-nail
DE3301415A1 (de) * 1983-01-18 1984-07-19 Robert Bosch Gmbh, 7000 Stuttgart Endoprothesenschaft
US4536894A (en) * 1983-08-04 1985-08-27 Galante Jorge O Hip prosthesis with flared porous bony ingrowth pads
CH662268A5 (de) * 1984-03-06 1987-09-30 Protek Ag Hueftgelenkprothese.
US4714470A (en) * 1986-02-19 1987-12-22 Zimmer, Inc. Grooved prosthetic implant
US5018285A (en) * 1987-08-24 1991-05-28 Zimmer, Inc. Method of constructing prosthetic implant with wrapped porous surface
DE8717800U1 (de) * 1987-11-28 1990-03-29 Metalpraecis Berchem + Schaberg Gesellschaft für Metallformgebung mbH, 4650 Gelsenkirchen Gelenkprothese
CH674307A5 (fr) * 1988-02-26 1990-05-31 Sulzer Ag
US5002581A (en) * 1989-11-03 1991-03-26 Dow Corning Wright Corporation Modular hip joint prosthesis with adjustable anteversion
US5002578A (en) * 1990-05-04 1991-03-26 Venus Corporation Modular hip stem prosthesis apparatus and method
US5007931A (en) * 1990-05-04 1991-04-16 Boehringer Mannheim Corporation Porous coated prosthesis

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3740769A (en) * 1971-02-11 1973-06-26 E Haboush Prosthesis for hip joints
US3965490A (en) * 1974-11-14 1976-06-29 Howmedica, Inc. Femoral insert for hip joint prosthesis
US4164794A (en) * 1977-04-14 1979-08-21 Union Carbide Corporation Prosthetic devices having coatings of selected porous bioengineering thermoplastics
US4623349A (en) * 1982-06-29 1986-11-18 Gerald Lord Osteal prosthesis and the production thereof
US4808186A (en) * 1988-02-02 1989-02-28 Boehringer Mannheim Corporation Controlled stiffness femoral hip implant
US4986834A (en) * 1988-08-31 1991-01-22 Boehringer Mannheim Corporation Load sharing femoral hip implant

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
See also references of EP0607287A4 *

Cited By (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP1234556A2 (fr) * 2001-02-23 2002-08-28 Zimmer Inc. Tige fémorale avec nervure de renforcement
EP1234556A3 (fr) * 2001-02-23 2004-03-03 Zimmer Inc. Tige fémorale avec nervure de renforcement
EP1652496A3 (fr) * 2001-02-23 2007-04-25 Zimmer Inc. Tige fémorale avec nervure de renforcement
WO2003047471A1 (fr) * 2001-11-30 2003-06-12 Depuy International Limited Piece femorale de prothese de hanche
US10213310B2 (en) 2012-06-18 2019-02-26 DePuy Synthes Products, Inc. Dual modulus hip stem and method of making the same
US11020232B2 (en) 2012-06-18 2021-06-01 DePuy Synthes Products, Inc. Dual modulus hip stem and method of making the same
US10213314B2 (en) 2013-03-14 2019-02-26 DePuy Synthes Products, Inc. Femoral component for an implantable hip prosthesis
US11058543B2 (en) 2013-03-14 2021-07-13 DePuy Synthes Products, Inc. Femoral component for an implantable hip prosthesis and method of making same
EP2886085A3 (fr) * 2013-12-18 2015-10-07 DePuy Synthes Products, LLC Tige de prothèse orthopédique à module double

Also Published As

Publication number Publication date
EP0607287B1 (fr) 1999-01-13
EP0607287A4 (fr) 1995-02-22
US5336265A (en) 1994-08-09
DE69228190T2 (de) 1999-09-23
JPH08503859A (ja) 1996-04-30
CA2120706A1 (fr) 1993-04-15
AU2787192A (en) 1993-05-03
AU680400B2 (en) 1997-07-31
CA2120706C (fr) 2003-06-17
EP0607287A1 (fr) 1994-07-27
DE69228190D1 (de) 1999-02-25
JP3451257B2 (ja) 2003-09-29

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